Golnik C, Beaver Hilary, Gauba Vinod, Lee Andrew G, Mayorga Eduardo, Palis Gabriela, Saleh George M
Departments of Ophthalmology, Neurology, and Neurosurgery, University of Cincinnati and the Cincinnati Eye Institute, Cincinnati, Ohio (Dr Golnik); Department of Ophthalmology, Weill Cornell Medical College, The Methodist Hospital System, Houston, Texas, and the University of Texas Medical Branch at Galveston (Dr Beaver); Department of Ophthalmology, Imperial Healthcare Institute, Dubai Healthcare City, and Department of Clinical Sciences, Dubai Medical College, United Arab Emirates (Dr Gauba); Departments of Ophthalmology, Neurology, and Neurosurgery, Weill Cornell Medical College, and Department of Ophthalmology, The Methodist Hospital System, Houston, Texas, the Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, and the University of Texas Medical Branch at Galveston (Dr Lee); Department of Ophthalmology, Hospital Italiano de Buenos Aires, Argentina (Dr Mayorga and Dr Palis); and Moorfields Eye Hospital, South Wing, Bedford, United Kingdom (Dr Saleh).
Trans Am Ophthalmol Soc. 2013 Sep;111:24-33.
To test the validity and reliability of a new tool for assessing residents' competence in ophthalmic surgery. Changing paradigms of ophthalmic education in the United States have influenced worldwide ophthalmic education and necessitated new methods of assessing resident competence. Accordingly, a new tool for assessing residents' competence in ophthalmic surgery (phacoemulsification) that could be applicable internationally was developed. We hypothesize that this instrument is valid and reliable.
A panel of six international content experts adapted a previously published tool for assessing phacoemulsification. The tool (called the International Council of Ophthalmology's Ophthalmology Surgical Competency Assessment Rubric, or ICO-OSCAR:phaco) was reviewed by 12 international content experts for their constructive comments, which were incorporated to ensure content validity. Ten expert cataract surgery teachers then graded six recorded phacoemulsification surgeries with the ICO-OSCAR:phaco to investigate inter-rater reliability.
The coefficient alpha statistic (a measure of reliability/internal consistency) for the ICO-OSCAR:phaco as a whole was 0.92, and 17 of its 20 dimensions had alpha coefficients greater than 0.70.
The ICO-OSCAR:phaco is a valid and reliable assessment tool that could be applied internationally to satisfy the global need of new instruments to comply with emerging trends in ophthalmic education. A toolbox of similar surgical competency assessment tools is being developed.
测试一种用于评估住院医师眼科手术能力的新工具的有效性和可靠性。美国眼科教育范式的转变影响了全球眼科教育，并促使采用新的方法来评估住院医师的能力。因此，开发了一种可在国际上应用的用于评估住院医师眼科手术（超声乳化白内障吸除术）能力的新工具。我们假设该工具是有效且可靠的。
一个由六名国际内容专家组成的小组对先前发表的用于评估超声乳化白内障吸除术的工具进行了改编。该工具（称为国际眼科理事会眼科手术能力评估量表，即ICO-OSCAR:phaco）由12名国际内容专家进行评审，以获取他们的建设性意见，并将这些意见纳入其中以确保内容效度。然后，十名白内障手术专家教师使用ICO-OSCAR:phaco对六个记录的超声乳化白内障吸除术进行评分，以研究评分者间的可靠性。
ICO-OSCAR:phaco整体的α系数统计量（可靠性/内部一致性的一种度量）为0.92，其20个维度中有17个的α系数大于0.70。
ICO-OSCAR:phaco是一种有效且可靠的评估工具，可在国际上应用，以满足全球对新工具的需求，以顺应眼科教育的新趋势。正在开发一个类似手术能力评估工具的工具箱。
